GOOD SHEPHERD PRIMARY CARE PC
NPI 1649795394
Internal Medicine in Farmingdale, NY
About Good Shepherd Primary Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOOD SHEPHERD PRIMARY CARE PC (NPI 1649795394) is a healthcare organization registered as an internal medicine in Farmingdale, New York and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Staten Island and lists Heba A Zaher, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Good Shepherd Primary Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Good Shepherd Primary Care PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Good Shepherd Primary Care PC's NPI number?
The NPI number for Good Shepherd Primary Care PC is 1649795394. It was assigned to this organization in the NPPES registry on August 3, 2017.
Where is Good Shepherd Primary Care PC located?
Good Shepherd Primary Care PC is located at 1111 Route 110, Farmingdale, NY 11735. The listed phone number is (516) 895-5050.
What is Good Shepherd Primary Care PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Good Shepherd Primary Care PC enrolled in Medicare?
Yes. Good Shepherd Primary Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Good Shepherd Primary Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Good Shepherd Primary Care PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Good Shepherd Primary Care PC was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Good Shepherd Primary Care Pc · NPI 1649795394
Internal Medicine organization in Farmingdale, New York. Organization record, active in the CMS NPPES registry since August 3, 2017.
## Identity
- **NPI:** 1649795394 (Entity type: Organization)
- **Enumerated:** August 3, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Heba Zaher, MD
## Practice location
- **Address:** 1111 ROUTE 110, Farmingdale, NY 11735-4820
- **Phone:** (516) 895-5050 · **Fax:** (516) 895-5088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649795394) · Data from the CMS NPPES public registry.